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Kuwait National Petroleum Company (K.S.

C)
Clean Fuels Project (CFP)
KNPC Contract No. CFP/EPC/0054-MAB1
PSCJ Job No. JI-2025

RESPONSE SHEET
Sub-contractor / Vendor Document No: P6012MAB.000.10.03.433 Rev No.: OB Status Code : R

Contractor Transmittal No: PSCJ-CCCM-CFP-MAB1-T-00157 Received Date: 04-MAR-15

Document Title : ITP- FENCING AND GATES INSTALLATION WORKS


Sub-Contractor Response / Vendor Action
Serial No. CONTRACTOR Comments CONTRACTOR Response
Response Code
Replace the header with the approved template and change the document number to the correct
1. one
Noted and complied to the comments A

2. On Sec 1 , use the company approved forms and documents with their correct numbers Noted and complied to the comments A
Noted and complied to the comments
3. On Sec 2, Replace KNPC with company , PSCJ with contractor and CCC with Sub-contractor A
Noted and complied to the comments
4. On each item write the reference documents number in and use the company approved forms A
Noted and complied to the comments
5. Remove the item num 1 and num 2 and use the same terminology as earthwork ITP A
SN 1 : fence materials receipt at site : Noted and complied to the comments
Add (approved MAR & certificates for posts, chain link wire ,fence accessories ,nuts ,bolts and
6. washers, bracings ,gates) A

SN 2 :Excavation : Noted and complied to the comments


7. Add layout of fence ground profile ,clearing and grubbing ,local cutting or filling and earth filling A

SN 3 :Concreting of fence post foundation: Noted and complied to the comments


8. Add final grading ,line and plumb A

Sub-Contractor Response / Vendor Action


Serial No. COMPANY Comments COMPANY Response
Response Code
1.

2.

3.

Action Code: A-Accepted, N-Not accepted


Page 1 of 1 P6012MAB.000.10.03.QCF.013, Rev O1
Kuwait National Petroleum Company (K.S.C)
Clean Fuels Project (CFP)
KNPC Contract No. CFP/EPC/0054-MAB1
  PSCJ Job No. JI-2025
Document Title: ITP for Fencing and Gates Installation Works
Document No#: P6012MAB.000.10.03.433; Rev OB
 
 
1. Legend/Abbreviations 

S.R Document Title Document No.


1 Project Quality Plan P6012MAB.000.10.03.008
2 Site Quality Plan P6012MAB.000.10.03.002
3 Civil Design Basis P6012MAB.000.10.19.001
4 Roads, paving, surfacing, cable trenches, DEP 34.13.20.31-Gen
slope protection and fencing
5 Site preparation and earthworks including DEP 34.11.00.11-Gen
Tank foundations and tank farms
6 Reinforced Concrete Structure DEP 34.19.20.31- Gen
7 Project Variation 34.13.20.31-P6000CFP-000-PV_B
8 Standard Drawing -Fence construction type S13.004-B
“D” with tubular posts
 
List of Verifying Documents / Procedures:

 
1 Punch List P6012MAB.000.10.03.002.QCF.019-GPL
2 Record of concrete pour P6012MAB.000.10.03.002.QCF.030-CX
3 Site preparation and earthwork inspection report P6012MAB.000.10.03.002.QCF.159-CX
4 Earthwork survey report P6012MAB.000.10.03.002.QCF.160-CX
5 Reinforced concrete post pour inspection record P6012MAB.000.10.03.002.QCF.164-CX
Foundation completion and release to the next
6 P6012MAB.000.10.03.002.QCF.168-CA
construction discipline
7 Concrete precast unit installation check list P6012MAB.000.10.03.002.QCF.169-CX
8 Concrete batching plant inspection check sheet P6012MAB.000.10.03.002.QCF.170-CX
9 Concrete Pouring Inspection record P6012MAB.000.10.03.002.QCF.171-CX
10 Fencing and gates inspection records P6012MAB.000.10.03.002.QCF.186-CX
Fencing and gates installation completion
11 P6012MAB.000.10.03.002.QCF.187-CA
certificate
12 Field concrete pouring record P6012MAB.000.10.03.002.QCF.390-CX
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   

Page 2 of 7
Kuwait National Petroleum Company (K.S.C)
Clean Fuels Project (CFP)
KNPC Contract No. CFP/EPC/0054-MAB1
  PSCJ Job No. JI-2025
Document Title: ITP for Fencing and Gates Installation Works
Document No#: P6012MAB.000.10.03.433; Rev OB
 

2. Definitions & Abbreviations:


 
Symbol Abbreviation Definition
American Society for Testing N/A
ASTM
and Materials
N/A
BS British Standard
N/A
CFA Continuous Flight Auger
ITP Inspection and Test Plan N/A
MAS Material Approval Sheet N/A

N/A Not Applicable N/A


Kuwait National Petroleum N/A
Company
Company
Petrofac-Samsung-CBI Joint N/A
Contractor
Venture
QCP Quality Control Procedure N/A
Consolidated Contractor Co N/A
Sub-Contractor
Kuwait
Supp Supplier N/A
Prior notice, attendance and clearance by concerned party
H Hold
before next activity.
A stage during construction activity where only review of
R Review
documents/records will be done.
An inspection where vendor / purchaser / company or their
representative plans to monitor the activity in process on
M Monitor
random or periodic basis. No formal notification is required
from the vendor.
S Surveillance Inspection during construction activity, but, work may proceed.
Prior notice required, but, work may proceed without waiting for
W Witness
acceptance of the concerned.
W (Spot) Random or interim inspection by purchaser
A Approval of Document Approval is required prior to proceed of the next activity
NO No Witness Inspection records shall be submitted if required.
 
 
 
 
 
 
 
 
 
   
 

Page 3 of 7
Kuwait National Petroleum Company (K.S.C)
Clean Fuels Project (CFP)
KNPC Contract No. CFP/EPC/0054-MAB1
 
  PSCJ Job No. JI-2025
Document Title: ITP for Fencing and Gates Installation Works
Document No#: P6012MAB.000.10.03. 433; Rev OB

Responsibl Inspection Point


Description of Reference Acceptance Verifying
SN Action to be verified e Party/ Sub
activity Document Criteria for Testing / inspections Personnel Document Cont.
Contractor Company

1. Fence Materials  Check the approved MAS   DEP 34.13.20.31‐Gen   All material shall  be new    H W R/A


certificates and the  (Roads, paving,   All components metal parts and 
receipt at site
storage of materials  surfacing, cable  barbed wire shall be galvanized  QC‐Engineer/QC   P6012MAB.000.10.
Inspector 03.002.QCF.186‐CX 
  trenches, slope   Chain link shall be as per project  (Foundation 
 Posts  protection and  specification and IFC drawing  completion and 
 Chain link wire fabric  fencing) ‐ Section 7   Pull posts and line posts shall be as per  release to the next 
 Fence accessories    project specification and IFC drawing  construction 
 Nuts, Bolts and washers   34.13.20.31‐  Doors shall be pre‐fabricated  discipline) 
 Bracings  P6000CFP‐000‐PV_B  proprietary product   
 Gates  (Project Variation)   Doors design shall be approved by   Approved MAR 
  contractor prior to installation 
 Relevant standard  Emergency gate shall be manually 
drawing S13.004‐B  operated double leaf with a simple 
(Fence construction  opening and closing system 
type “D” with tubular 
posts).
2. Excavation ,layout  a. Visual inspection of survey   DEP 34.11.00.11‐  Excavation sides shall be firm QC Inspector  P6012MAB.000.10. H W/R R
of fence ,ground  line  Gen.(Site    03.002.QCF.160‐CX 
profile ,clearing  b. Visual inspection of  preparation and   Foundation depth shall be as per IFC  (Earthwork survey 
and grubbing  excavation  earthworks  drawing  report) 
,local cutting or  c. Random inspection of  including Tank   
filling and earth  fence post foundation  foundations and   P6012MAB.000.10.
filling  depth tank farms)  03.002.QCF.159‐CX
  (Site preparation 
 Relevant standard  and earthwork 
drawing S13.004‐B  inspection report)
(Fence construction 
type “D” with 
tubular posts). 

Page 4 of 7
Kuwait National Petroleum Company (K.S.C)
Clean Fuels Project (CFP)
KNPC Contract No. CFP/EPC/0054-MAB1
  PSCJ Job No. JI-2025
 
Document Title: ITP for Fencing and Gates Installation Works
Document No#: P6012MAB.000.10.03. 433; Rev OB

Responsibl Inspection Point


Description of Reference Acceptance Verifying
SN Action to be verified e Party/ Sub
activity Document Criteria for Testing / inspections Personnel Document Cont.
Contractor Company

3. Concreting of  a. Verification of concrete   DEP 34.19.20.31   Concrete grade shall be as per  Site Engineer/QC   P6012MAB.000.10.0 W W/R S/R


  fence post  strength test report  (Reinforced  IFC drawing.  Inspector 3.002.QCF.171‐CX
foundation  concrete   Fence post shall be  inside the  (Concrete Pouring 
  structure)  concrete foundation to a  Inspection record) 
 
  b. Verification of distance    minimum depth as per IFC   P6012MAB.000.10 
   Typical fencing  drawing  .03.002.QCF.164‐CX
between two line posts
detail drawing.   Fence post foundation shall be  (Reinforced 
    as per IFC drawing  concrete post pour 
  c. Final grading  IFC Drawings   Distance between two line post  inspection record) 
    shall be as per IFC drawing   P6012MAB.000.10 
d. Line and plumb  two line posts   Bracing post foundation shall be  .03.002.QCF.169‐CX
    as per IFC drawing. Bracing shall  (Concrete precast 
   Verification of  be by 60X60X6mm angle.  unit installation 
  braced fence   After two unbraced posts, shall  check list) 
posts  be one bracing post   P6012MAB.000.10 
  .03.002.QCF.390‐CX
  (Field concrete 
  pouring record) 
 
4. Installation of   Inspection of continuous   DEP 34.13.20.31‐Gen   Strainer brace shall be  QC Engineer/Site   P6012MAB.000.10.0 H W S
Strainer braces  fillet welding  (Roads, paving,  50X50X5mm angle section  Engineer/QC  3.002.QCF.186‐CX 
surfacing, cable  welded to the post with 6mm  Inspector  (Fencing and gates 
trenches, slope  continuous fillet weld.  inspection records) 
protection and   Strainer bracing shall be 
fencing)‐Section 7  installed at every 150m interval.  
   Strainer brace foundation shall 
 34.13.20.31‐ be 300 mm into the  concrete 
P6000CFP‐000‐PV_B 
(Project Variation) 
 
 Relevant standard 
drawing S13.004‐B 
(Fence construction 
type “D” with tubular 
posts). 

Page 5 of 7
Kuwait National Petroleum Company (K.S.C)
Clean Fuels Project (CFP)
KNPC Contract No. CFP/EPC/0054-MAB1
  PSCJ Job No. JI-2025
 
Document Title: ITP for Fencing and Gates Installation Works
Document No#: P6012MAB.000.10.03. 433; Rev OB

Responsibl Inspection Point


Description of Reference Acceptance Verifying
SN Action to be verified e Party/ Sub
activity Document Criteria for Testing / inspections Personnel Document Cont.
Contractor Company

5. Installation of   Inspection of tension wire   DEP 34.13.20.31‐Gen   Strainer brace shall be 60X60X6mm  QC Engineer/Site  P6012MAB.000.10.03. W S/R R


fence mesh and  spacing  (Roads, paving,  angle section welded to the post with  Engineer/QC  002.QCF.186‐CX
barbed wires  surfacing, cable  6mm continuous fillet weld.  Inspector  (Fencing and gates 
trenches, slope   Strainer bracing shall be installed at  inspection records) 
protection and  every 150m interval.  
fencing)   Strainer brace foundation shall be 300 
  mm into the  concrete 
 34.13.20.31‐
P6000CFP‐000‐PV_B 
(Project Variation) 
 
 Relevant standard 
drawing S13.004‐B 
(Fence construction 
type “D” with tubular 
posts). 
Installation of   Inspection of pre‐  DEP 34.13.20.31‐Gen   Pre‐fabricated gate shall be in  QC Engineer/Site  P6012MAB.000.10.03. W S/R R
6. gates  fabricated Door  (Roads, paving,  accordance with referenced IFC  Engineer/QC  002.QCF.186‐CX
  surfacing, cable  drawing  Inspector  (Fencing and gates 
 Inspection of gate post  trenches, slope    inspection records) 
foundation construction  protection and   Concrete for gate posts   
fencing)‐clause 7.4.2  foundation shall be structural   
  concrete grade. 
 34.13.20.31‐
P6000CFP‐000‐PV_B 
(Project Variation) 
 
 Typical gates drawing 

Page 6 of 7
Kuwait National Petroleum Company (K.S.C)
Clean Fuels Project (CFP)
KNPC Contract No. CFP/EPC/0054-MAB1
  PSCJ Job No. JI-2025
 
Document Title: ITP for Fencing and Gates Installation Works
Document No#: P6012MAB.000.10.03. 433; Rev OB

Responsibl Inspection Point


Description of Reference Acceptance Verifying
SN Action to be verified e Party/ Sub
activity Document Criteria for Testing / inspections Personnel Document Cont.
Contractor Company

7. Joint walk down    Visual check for missing   DEP 34.13.20.31‐Gen   Fence and gate installation shall be In  QC Engineer/ QC    H W R/A


and punch listing  components coating,  (Roads, paving,  accordance with project specification  Inspector   P6012MAB.000.10.0
damage, modification and  surfacing, cable  and relevant IFC drawing.  3.002.QCF.019‐GPL‐
other minor comments  trenches, slope  (Punch list) 
protection and   
fencing)   
   P6012MAB.000.10.0
 34.13.20.31‐ 3.002.QCF.187‐CA 
P6000CFP‐000‐PV_B  (Fencing and gates 
(Project Variation)  installation 
  completion 
 Relevant standard  certificate) 
drawing S13.004‐B 
(Fence construction 
type “D” with 
tubular posts). 
8. Fencing and gates    All quality records   DEP 34.13.20.31‐Gen   In accordance with project  QC Engineer/Site P6012MAB.000.10.03.00 H W A
Completion  reviewed and signed off.  (Roads, paving,  specification and relevant IFC  Engineer/QC  2.QCF.187‐CA
surfacing, cable  drawing  Inspector 
trenches, slope  (Fencing and gates 
protection and  installation completion 
fencing)  certificate) 
 
 34.13.20.31‐
P6000CFP‐000‐PV_B 
(Project Variation) 
 
 Relevant standard 
drawing S13.004‐B 
(Fence construction 
type “D” with tubular 
posts). 

 

Page 7 of 7
Kuwait National Petroleum Company (K.S.C)
Clean Fuels Project (CFP)
KNPC Contract No. CFP/EPC/0054-MAB1
PSCJ Job No. JI-2025

PUNCH LIST
Client Name : Project Name :
Contractor : Project No :
Sub-contractor : Punch List No :
Unit No : Date
Facility Description :
CONCERNED AREAS
□ Operations □ Machinery including static equipment etc.
□ Electrical □ HVAC
□ Instrumentation including process control systems □ Computer Application and Advanced Control System
□ Telecommunication system including paging system □ Inspection & Corrosion Division
□ Fire protection and Fire fighting facilities □ Safety Items
□ Mechanical □ Piping including protective coating, painting & Isolation
□ Civil and Structural □ Others
CONFIRMATION FOR CLEARANCE
Sr. DWG. No. DESCRIPTION ORIGINATOR CATEGORY Company
No. / DATE (A) or (B) CONTRACTOR PD MAA / MAB / SHU
Name Date Name Date Name Date

CATEGORY (A): Punch list items which shall be completed before pre-commissioning CATEGORY (B): Punch list items which can be done during and beyond commissioning

P6012MAB.000.10.03.002.QCF.019-GPL, Rev O2
Kuwait National Petroleum Company (K.S.C)
Clean Fuels Project (CFP)
KNPC Contract No. CFP/EPC/0054-MAB1
PSCJ Job No. JI-2025

RECORD OF CONCRETE POUR

REQUEST FOR PERMISSION TO CAST CONCRETE BY CONTRACTOR


Client Report No
Contractor : Date
Sub-contractor : Location

PREPOURING RECORDS Locaton of Pour :


Proposed Date of Pour : Time :
Concrete Grade : Slump Range : Anticipated Volume :
Type of Cement : Concrete Temp. Reference Drawing No :
Type of Finish : Max Allowable Temp : No. of Cubes reqd. :
Method of Placement : Weather Conditions :
Date and Time available for Inspection :
Notified by (Signed) : Date :

CHECKLIST : Signature
OK Not OK NA Inspection Date Reinspection Date

Formwork

Reinforcement

Concreat Cover

Mechanical Inserts/Sleeves

Electrical Inserts/Sleeves

Unistruts

Bolts

Other

RELEASED TO POUR : YES NO

REASONS FOR NON-RELEASE:

POURING RECORDS
Actual Date of Pour : Mixing Time : Sampling Time
Truck No. : Slump: Start & Compl. Time :
Additives Added : Concrete Temp

POST POURING RECORDS


Total Number of Cubes : @ 7 days Cubes breaking :
Surface Finishng @ 28 days Cubes breaking :

REMARKS:

Witness Signatories Sub-Contractor QC Contractor QC Company


Name
Signature
Date

Distribution: Company Contractor

P6012MAB.000.10.03.002.QCF.030-GX, Rev O2
Kuwait National Petroleum Company (K.S.C)
Clean Fuels Project (CFP)

KNPC Contract No. CFP/EPC/0054-MAB1


PSCJ Job No. JI-2025

INSPECTION & TEST RECORD-CIVIL


SITE PREPARATION AND EARTH WORK INSPECTION RECORD
Client Name : Project Name :
Contractor : Project No :
Sub-contractor : Report No :
Tag No : Date :
Sub-System No : Rev :
Drawing No : RFI # :
Structure/member : Area :

Sl. Inspection findings QC


Description of Inspection Activity
No: Satisfactory Unsatisfactory inspector

Underground (UG) services drawing checked


1
and all UG services locations marked.

Inspection of setting out/ grid reference/ bench


2 mark and steel/wood pegs indicating various
elevations.
Inspection of clearing backfilling area from
3
construction debris.
4 Inspection of soft spots, if any.

5 Verification of fill material test reports.


Inspection of excavation area setting out and
6
mark up.
7 Inspection of formation level.
8 Inspection of impermeable membrane, if any.
9 Inspection of concrete protective system.
Verification of protective coating thickness
10
report, if applicable.
11 Verification of compaction test reports.

12 Inspection of finish level.

13 Verification of compaction test reports.


Remarks:

Witness Signatories Sub-Contractor QC Contractor QC Company

Name

Signature

Date
Page 1 of 1 P6012MAB.000.10.03.002.QCF.159-CX Rev O2
Kuwait National Petroleum Company (K.S.C)
Clean Fuels Project (CFP)

KNPC Contract No. CFP/EPC/0054-MAB1


PSCJ Job No. JI-2025

INSPECTION & TEST RECORD-CIVIL


EARTH WORK SURVEY RECORD
Client Name : Project Name :
Contractor : Project No :
Sub-contractor : Report No :
Tag No : Date :
Sub-System No : Rev :
Drawing No : RFI # :
Structure/member : Area :

Sl. No Northing Easting Elevation Remarks

1
2
3

4
5

7
8

10
11

12
13

14
15

16
17

18

Witness Signatories Sub-Contractor QC Contractor QC Company

Name

Signature

Date
Page 1 of 1 6012MAB.000.10.03.002.QCF.160-CX Rev O2
Kuwait National Petroleum Company (K.S.C)
Clean Fuels Project (CFP)

KNPC Contract No. CFP/EPC/0054-MAB1


PSCJ Job No. JI-2025

INSPECTION & TEST RECORD-CIVIL


REINFORCED CONCRETE POST-POUR INSPECTION RECORD

Client Name : Project Name :


Contractor : Project No :
Sub-contractor : Report No :
Tag No : Date :
Sub-System No : Rev :
Drawing No : RFI # :
Structure/member : Area :

Sl. Inspection Findings


Description of Inspection Activity QC inspector
No. Satisfactory Unsatisfactory
Inspection of concrete top surface
1
finishing.
Inspection of top surface curing and
2
protection method.
Inspection of vertical surface
3
finishing after striking form work.
Inspection of vertical surface curing
4
and protection method.
Curing compound application
5
verified (if any).
Anchor bolts in plan and elevation
6
verified.
Defects like cracks, honeycomb or
7
damage to concrete noticed.
Protective coating application is
8
satisfactory.
7 days concrete compression test
8
result verification.
28 days concrete compression test
9
result verification.
Remarks:

Witness Signatories Sub-Contractor QC Contractor QC Company

Name

Signature

Date
Page 1 of 1 P6012MAB.000.10.03.002.QCF.164-CX, Rev O2
Kuwait National Petroleum Company (K.S.C)
Clean Fuels Project (CFP)

KNPC Contract No. CFP/EPC/0054-MAB1


PSCJ Job No. JI-2025

INSPECTION & TEST RECORD-CIVIL


FOUNDATION COMPLETION AND RELEASE TO NEXT CONSTRUCTION DISCIPLINE
Client Name : Project Name :
Contractor : Project No :
Sub-contractor : Report No :
Tag No : Date :
Sub-System No : Rev :
Drawing No : RFI # :
Structure/member : Area :
Next construction discipline Structural steel / equipment installation / underground piping / piping /
(Tick as applicable) E&I/ Painting and coating

Sl. No. Description of Check Result

1 Confirm the plan and concrete finished elevation of the foundation is as per IFC
drawing (verify survey report).
2 Confirm the shim plates are fixed and survey report for top of shim plates is
verified.
3 Confirm that position of Anchor Bolts in plan and elevation is as per IFC
drawing (verify survey report).
4 Confirm that the anchor bolt and threads are in satisfactory condition.

5 Confirm that scabbling /roughening has been carried out for grouting work.

6 Confirm that the Anchor Bolt pockets to receive grout are cleaned.

7 Confirm that post-pour Survey Report of the foundation is accepted.

8 Confirm that surrounding area has been back filled and compacted to correct
elevation.
9 Confirm that all Quality Records have been completed and accepted.

10 Confirm that all construction debris have been removed prior to release to next
discipline.
11 Confirm that grouting work is complete and is accepted by next discipline.

12 Confirm that all quality records for grouting work is complete and accepted.

13 Confirm that trench excavation for underground piping / E&I cable laying work is
complete and accepted.
14 Confirm that all quality records for trench excavation for underground piping /
E&I cable laying work is complete and accepted.
15 Confirm that fire proofing work is completed and next discipline accepted.

16 Confirm that all quality records for fire proofing work is complete and accepted.
Remarks:

Witness Signatories Sub-Contractor QC Contractor QC Company

Name

Signature

Date
Page 1 of 1 P6012MAB.000.10.03.002.QCF.168-CA, Rev O2
Kuwait National Petroleum Company (K.S.C)
Clean Fuels Project (CFP)

KNPC Contract No. CFP/EPC/0054-MAB1


PSCJ Job No. JI-2025

INSPECTION & TEST RECORD-CIVIL


CONCRETE PRECAST UNITS INSTALLATION CHECK LIST

Client Name : Project Name :


Contractor : Project No :
Sub-contractor : Report No :
Tag No : Date :
Sub-System No : Rev :
Drawing No : RFI # :
Structure/member : Area :

Sl. Inspection findings


Description of Inspection Activity
No. Sub-contractor QC Contractor QC
Check and ensure the excavation is carried out to the
required dimension and bottom of foundation is
1
compacted to required degree of compaction. Check
survey report and compaction test report.
Check and ensure the blinding concrete curing period is
2 complete and ensure protective coating on top surface
is complete and is acceptable (If applicable).
Ensure concrete strength test results are satisfactory
3
prior to start installing precast units.
Check and ensure the pre-pour inspection check sheet
4
is acceptable for the precast member.
Check and ensure the concrete pouring inspection
5 check sheet and field concrete pouring check sheet are
acceptable for the precast member.
Check and ensure concrete post pour inspection check
6 sheet is acceptable and protective coating application is
complete.
Check cast date and foundation type is legibly marked
7
on the precast member.
Check as installed coordinates in plan and elevation for
8 the anchor bolts and top of concrete of installed precast
members.
Check all anchor bolts exposed threaded portion is
9
covered with a film of grease to avoid corrosion.
Check and ensure back filling around installed
foundations is carried out in layers as per project
10
specification and compacted to required degree of
compaction (verify compaction test report).
Remarks :

Witness Signatories Sub-Contractor QC Contractor QC Company

Name

Signature

Date
Page 1 of 1 P6012MAB.000.10.03.002.QCF.169-CX, Rev O2
Kuwait National Petroleum Company
(K.S.C)
Clean Fuels Project (CFP)

KNPC Contract No. CFP/EPC/0054-MAB1


PSCJ Job No. JI-2025

INSPECTION & TEST RECORD-CIVIL


CONCRETE BATCHING PLANT INSPECTION CHECK SHEET
Client Name : Project Name :
Contractor : Project No :
Sub-contractor : Report No :
Tag No : Date :
Sub-System No : Rev :
Drawing No : RFI # :
Structure/member : Area :

Contractor/Supplier’s Name :
Survey Date :
Location :
Assessor/Job Title :
Plant Phone No :
Plant Fax No :

Proposed for :

Contact No :
Project Title :
Location :

GENERAL INFORMATION

Structural 3
3 Non-structural (m )
What is the approximate volume (cubic meters) of concrete required for (m )
A
this project?

What is the approximate distance (in kilometers) from the proposed batch
B
plant to the jobsite?
What is the approximate travel time (in minutes) of transit mixer from the
C
proposed batch plant to the jobsite?
D Is the batch plant central mixing or dry batching?

E Is the batch plant equipped with on-site quality control laboratory?

F Approximate completion date of the project.

1. GENERAL

1.1 Plant Type/ Model


3 3
1.2 Capacity (m /batch,m /hour)
1.3 Plant Manager
1.4 QC Engineer

Witness Signatories Sub-Contractor QC Contractor QC Company


Name
Signature
Date
Page 1 of 5 P6012MAB.000.10.03.002.QCF.170-CX, Rev O2
Kuwait National Petroleum Company
(K.S.C)
Clean Fuels Project (CFP)

KNPC Contract No. CFP/EPC/0054-MAB1


PSCJ Job No. JI-2025

INSPECTION & TEST RECORD-CIVIL


CONCRETE BATCHING PLANT INSPECTION CHECK SHEET
Client Name : Project Name :
Contractor : Project No :
Sub-contractor : Report No :
Tag No : Date :
Sub-System No : Rev :
Drawing No : RFI # :
Structure/member : Area :

2. MATERIALS TESTING AND LABORATORY


YES NO

2.1 Complete quality tests on raw materials available?

2.2 Date of latest test results.

2.3 Plant Quality Control Laboratory test results on raw materials available?
2.4 Independent Testing Laboratory test results on raw materials available? Attach raw
materials test reports from approved civil testing laboratory.
2.5 Name of Independent Testing Laboratory.

3. PLANT SCALES CALIBRATION (Attach valid calibration certificates from approved calibration agency.

Scales Current Calibration Date Next Calibration Date Calibration Agency

4. AGGREGATES HOPPER

3 Identified Equippep with Vibrator


Size No. of bins Capacity(m ) Properly Separated (Y/N)
(Y/N) (Y/N)

Witness Signatories Sub-Contractor QC Contractor QC Company


Name
Signature
Date
Page 2 of 5 P6012MAB.000.10.03.002.QCF.170-CX, Rev O2
Kuwait National Petroleum Company
(K.S.C)
Clean Fuels Project (CFP)

KNPC Contract No. CFP/EPC/0054-MAB1


PSCJ Job No. JI-2025

INSPECTION & TEST RECORD-CIVIL


CONCRETE BATCHING PLANT INSPECTION CHECK SHEET
Client Name : Project Name :
Contractor : Project No :
Sub-contractor : Report No :
Tag No : Date :
Sub-System No : Rev :
Drawing No : RFI # :
Structure/member : Area :

5. QUALITY ASSURANCE/QUALITY CONTROL MANUAL

Does the vendor have a QA/QC manual? Yes / No

Are the Manuals being implemented? Yes / No


Are there evidences that the QA/QC manual is implemented?
Yes / No
(Site examples)

1.

2.

6. AGGREGATES SOURCE
Coarse and Fine Aggregate Stock Bays
3
Size No. Quantity(m ) Source (Name and Location of Crusher)

Stockpiling Methods YES NO

a Are the aggregates of different sizes properly separated?

b Are coarse and fine aggregates identified?

c Are coarse and fine aggregates placed on hard, properly compacted and well
drained surface?

d Is there any evidence of contamination?

e Are there sufficient bulkheads between stock bays?

7. MIXING WATER AND ICE

Mixing Water Washing Water Ice Water

TDS
pH
Source

Witness Signatories Sub-Contractor QC Contractor QC Company


Name
Signature
Date
Page 3 of 5 P6012MAB.000.10.03.002.QCF.170-CX, Rev O2
Kuwait National Petroleum Company
(K.S.C)
Clean Fuels Project (CFP)

KNPC Contract No. CFP/EPC/0054-MAB1


PSCJ Job No. JI-2025

INSPECTION & TEST RECORD-CIVIL


CONCRETE BATCHING PLANT INSPECTION CHECK SHEET
Client Name : Project Name :
Contractor : Project No :
Sub-contractor : Report No :
Tag No : Date :
Sub-System No : Rev :
Drawing No : RFI # :
Structure/member : Area :

8. CEMENT STORAGE
Capacity Identification at Inlet
Type Source No. of Silos Condition
(tons) Pipe (Y/N)

9. CENTRAL MIXER

Mixer Type Capacity Condition of Drum Condition of Blades

10. PLANT CONTROL SYSTEM

Manufacturer Automatic System Manual System Semi-Automatic System

CHEMICAL ADMIXTURE DISPENSERS (Attach valid calibration certificates from approved calibration agency).

Current Next
No. of
Admixtures Identification Calibration Calibration Calibration Agency
Dispensers
date Date

11. WATER CHILLER and ICE PLANT

Facility Manufacturer Capacity Temp. Gauge Temp. Reading Condition

Witness Signatories Sub-Contractor QC Contractor QC Company


Name
Signature
Date
Page 4 of 5 P6012MAB.000.10.03.002.QCF.170-CX, Rev O2
Kuwait National Petroleum Company
(K.S.C)
Clean Fuels Project (CFP)

KNPC Contract No. CFP/EPC/0054-MAB1


PSCJ Job No. JI-2025

INSPECTION & TEST RECORD-CIVIL


CONCRETE BATCHING PLANT INSPECTION CHECK SHEET
Client Name : Project Name :
Contractor : Project No :
Sub-contractor : Report No :
Tag No : Date :
Sub-System No : Rev :
Drawing No : RFI # :
Structure/member : Area :

12. DELIVERY TRUCKS

3 Water Meter
Truck No. Capacity (m ) Condition of Blades Condition of Drum
(Y/N)

13. TRIAL BATCH RESULTS


Mix design Identification DESIGN CRITERIA TRIAL RESULTS

Based on our actual plant survey, we confirm that the subject batch plant meets the requirements of project
specification. In addition, we will perform the required QA/QC tests in the batch plant during concrete production
and on-site during placement, per our contract requirements.

Print Name and Signature


( Sub-Contractor’s Representative)

Batching plant facilities verified and accepted by

---------------------------------
Print Name and Signature
( Petrofac QC Engg)
---------------------------------
Print Name and Signature
( Client representative in charge)

Witness Signatories Sub-Contractor QC Contractor QC Company


Name
Signature
Date
Page 5 of 5 P6012MAB.000.10.03.002.QCF.170-CX, Rev O2
Kuwait National Petroleum Company (K.S.C)
Clean Fuels Project (CFP)

KNPC Contract No. CFP/EPC/0054-MAB1


PSCJ Job No. JI-2025

INSPECTION & TEST RECORD-CIVIL


CONCRETE POURING INSPECTION RECORD
Client Name : Project Name :
Contractor : Project No :
Sub-contractor : Report No :
Tag No : Date :
Sub-System No : Rev :
Drawing No : RFI # :
Structure/member : Area :

Sl. Verified by
Description of Inspection Activity
No. Sub Contractor QC Contractor QC
Check concrete mix design approvals for
1
blinding and structural concrete.
Check concrete pouring arrangements made at
2
site and ensure it is satisfactory.
Ensure the fresh concrete is not poured from
4 height more than 1.5m or as per project
specification.
Ensure the formwork is clean prior to pouring
5
concrete.
In case of new concrete is placed over the old
concrete, ensure the old concrete surface is
6
clean, saturated and bonding agent is applied (if
applicable).
Ensure the concrete is placed in layers in
7
accordance with project specification.
Ensure the concrete poured is vibrated using
8
right size of vibrator needle.
Ensure the concrete finishing is in accordance
9 with IFC drawing or project specification
requirements.
Ensure the finished concrete is covered with
10
polythene sheet.
Check fresh concrete sampling and testing is
11 carried out and field concrete pouring record is
updated.
Remarks:

Witness Signatories Sub-Contractor QC Contractor QC Company

Name

Signature

Date
Page 1 of 1 P6012MAB.000.10.03.002.QCF.171-CX, Rev O2
Kuwait National Petroleum Company (K.S.C)
Clean Fuels Project (CFP)

KNPC Contract No. CFP/EPC/0054-MAB1


PSCJ Job No. JI-2025

INSPECTION & TEST RECORD-CIVIL


FENCE AND GATES INSPECTION RECORD
Client Name : Project Name :
Contractor : Project No :
Sub-contractor : Report No :
Tag No : Date :
Sub-System No : Rev :
Drawing No : RFI # :
Structure/member : Area :

Description of Inspection Inspection findings


Sl. No. QC inspector
Activity Satisfactory Remarks
Survey and excavation
1
inspection.

2 Fence material inspection.

Line posts and bracing post


3
foundation concreting inspection.
Inspection of strainer braces
4
welding.
Inspection of fence mesh and
5
barbed wire.
Inspection of gate post
6
concreting.

7 Inspection of pre-fabricated gate.

8 Inspection of installation of gate.

Inspection of Emergency gate


9
installation.
Remarks:

Witness Signatories Sub-Contractor QC Contractor QC Company

Name

Signature

Date
Page 1 of 1 P6012MAB.000.10.03.002.QCF.186-CX, Rev O2
Kuwait National Petroleum Company (K.S.C)
Clean Fuels Project (CFP)

KNPC Contract No. CFP/EPC/0054-MAB1


PSCJ Job No. JI-2025

INSPECTION & TEST RECORD-CIVIL


FENCE AND GATE INSTALLATION COMPLETION CERTIFICATE

Client Name : Project Name :


Contractor : Project No :
Sub-contractor : Report No :
Tag No : Date :
Sub-System No : Rev :
Drawing No : RFI # :
Structure/member : Area :

Sl.
Description of check Result
No.

1 Location of fence and gate installation is as per IFC drawing.

2 Type of fence post used & installation is as per IFC drawing.

3 Spacing of Fence Posts is correct as per IFC drawing.

4 Check all Fence Posts are vertical.

Check that the chain link fence is secure and correctly installed as
5
per IFC drawing.

Check that the barbed wire installation is correct as per IFC


6
drawing.

Confirm that all gates operate smoothly and the bolts operate
7
correctly.

8 Confirm painting comply to project specification requirements.

9 Confirm that all Quality Records are completed and accepted.

10 Confirm Punch List walk down has taken place.

Remarks:

Witness Signatories Sub-Contractor QC Contractor QC Company


Name
Signature
Date
Page 1 of 1 P6012MAB.000.10.03.002.QCF.187-CA, Rev O2
Kuwait National Petroleum Company (K.S.C)
Clean Fuels Project (CFP)
KNPC Contract No. CFP/EPC/0054-MAB1
PSCJ Job No. JI-2025

Field Concrete Pouring Record


Client Name : Tag No : Project Name : Project No :
Contractor : Sub-System No : Drawing No : Rev :
Sub-contractor : RFI # : Report No : Date :

Concrete Cumulative Pouring


Sl. Pouring Temperature Number of
Truck No. Ticket No. Volume Volume Batch time Finish Slump (mm) o Remarks
No. Start time ( C) cubes made
supplied supplied time

Remarks :

Witness Signatories Subcontractor-QC Contactor QC Company

Name:

Signature:

Date:

Page 1 of 1 P6012MAB.000.10.03.002.QCF.390-CX, Rev O2

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